Ilizarov fixator in management of nonunited and infected tibial shaft fractures
Background: Management of nonunion with bony defect and infection in long bones is a challenging problem for orthopedic surgeons. Objectives: Evaluation of Ilizarov circular fixation method of treatment for the management of nonunited and infected fractures of tibia. Materials and Methods: This pros...
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Wolters Kluwer Medknow Publications
2015-01-01
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doaj-4fac54ab99cf4a2a9630269bc9eb01162020-11-25T00:40:28ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702015-01-0181354010.4103/0975-2870.148841Ilizarov fixator in management of nonunited and infected tibial shaft fracturesAbhinay SinghSoumya GhoshArunima ChaudhuriSoma DattaArnad ChowdhuryDebasis Singha RoyBackground: Management of nonunion with bony defect and infection in long bones is a challenging problem for orthopedic surgeons. Objectives: Evaluation of Ilizarov circular fixation method of treatment for the management of nonunited and infected fractures of tibia. Materials and Methods: This prospective study was conducted in a tertiary care hospital of eastern region of India on 30 subjects in a time span of 3 years after taking clearance of the Institutional Ethical Committee and informed consent of the patients. Results: All the patients had infected nonunion before undergoing Ilizarov procedure. Following initial injury, 22 patients were treated with external fixation and 8 cases were treated with internal fixation. At the time of presentation, 18 patients had infected gap nonunion, 5 patients had infected hypertrophic and 2 patients had atrophic nonunion. The Ilizarov fixator was kept for an average period of 303.7 days. Based on Association for the Study and Application of Methods of Ilizarov scoring system, bony and functional results were assessed. The bony result was excellent in 16 patients, good in eight, fair in four and poor in two. The functional result was excellent in 10 patients, good in 16, fair in two, poor in two. Conclusion: Ilizarov ring fixator still remains an excellent treatment modality for tibial nonunion with a defect, regarding bone union, deformity correction, infection eradication, limb-length achievement, and limb function.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=35;epage=40;aulast=SinghFracture shaft tibiaIlizarov ring fixatorwound infection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abhinay Singh Soumya Ghosh Arunima Chaudhuri Soma Datta Arnad Chowdhury Debasis Singha Roy |
spellingShingle |
Abhinay Singh Soumya Ghosh Arunima Chaudhuri Soma Datta Arnad Chowdhury Debasis Singha Roy Ilizarov fixator in management of nonunited and infected tibial shaft fractures Medical Journal of Dr. D.Y. Patil University Fracture shaft tibia Ilizarov ring fixator wound infection |
author_facet |
Abhinay Singh Soumya Ghosh Arunima Chaudhuri Soma Datta Arnad Chowdhury Debasis Singha Roy |
author_sort |
Abhinay Singh |
title |
Ilizarov fixator in management of nonunited and infected tibial shaft fractures |
title_short |
Ilizarov fixator in management of nonunited and infected tibial shaft fractures |
title_full |
Ilizarov fixator in management of nonunited and infected tibial shaft fractures |
title_fullStr |
Ilizarov fixator in management of nonunited and infected tibial shaft fractures |
title_full_unstemmed |
Ilizarov fixator in management of nonunited and infected tibial shaft fractures |
title_sort |
ilizarov fixator in management of nonunited and infected tibial shaft fractures |
publisher |
Wolters Kluwer Medknow Publications |
series |
Medical Journal of Dr. D.Y. Patil University |
issn |
0975-2870 |
publishDate |
2015-01-01 |
description |
Background: Management of nonunion with bony defect and infection in long bones is a challenging problem for orthopedic surgeons. Objectives: Evaluation of Ilizarov circular fixation method of treatment for the management of nonunited and infected fractures of tibia. Materials and Methods: This prospective study was conducted in a tertiary care hospital of eastern region of India on 30 subjects in a time span of 3 years after taking clearance of the Institutional Ethical Committee and informed consent of the patients. Results: All the patients had infected nonunion before undergoing Ilizarov procedure. Following initial injury, 22 patients were treated with external fixation and 8 cases were treated with internal fixation. At the time of presentation, 18 patients had infected gap nonunion, 5 patients had infected hypertrophic and 2 patients had atrophic nonunion. The Ilizarov fixator was kept for an average period of 303.7 days. Based on Association for the Study and Application of Methods of Ilizarov scoring system, bony and functional results were assessed. The bony result was excellent in 16 patients, good in eight, fair in four and poor in two. The functional result was excellent in 10 patients, good in 16, fair in two, poor in two. Conclusion: Ilizarov ring fixator still remains an excellent treatment modality for tibial nonunion with a defect, regarding bone union, deformity correction, infection eradication, limb-length achievement, and limb function. |
topic |
Fracture shaft tibia Ilizarov ring fixator wound infection |
url |
http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=35;epage=40;aulast=Singh |
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